Electroacupuncture combined with thunder-fire moxibustion for knee osteoarthritis of cold-damp type: A randomized controlled trial 电针联合雷火灸治疗寒湿型膝骨性关节炎: 随机对照试验
| Autor: | Ying Zhu, Ri-lan Chen, Fu-fang Sheng, Ying Jiang, Xing-cheng Wei, Zi-Long Liao, Kai-feng Deng |
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| Rok vydání: | 2020 |
| Předmět: |
WOMAC
Visual analogue scale Electroacupuncture business.industry medicine.medical_treatment Therapeutic effect 0211 other engineering and technologies 02 engineering and technology Osteoarthritis Moxibustion medicine.disease 030226 pharmacology & pharmacy 03 medical and health sciences 0302 clinical medicine Diclofenac Complementary and alternative medicine Oral administration Anesthesia 021105 building & construction medicine business medicine.drug |
| Zdroj: | World Journal of Acupuncture - Moxibustion. 30:33-38 |
| ISSN: | 1003-5257 |
| DOI: | 10.1016/j.wjam.2020.02.009 |
| Popis: | Objective To observe the clinical effect differences of knee osteoarthritis (KOA) with cold-damp type between electroacupuncture (EA) combined with thunder-fire moxibustion and medication. Methods A total of 72 cases of KOA patients with cold-damp type were randomly divided into a combined treatment group of EA and thunder-fire moxibustion (combined treatment group) and a medication group, 36 cases in each group. In the combined treatment group, the acupoints for EA were Dubi (犊鼻 ST35), Neixīyan (内膝眼 EX-LE4), Zusānlĭ (足三里 ST36), Yanglingquan (阳陵泉 GB34), Yīnlingquan(阴陵泉 SP9), Xuehai (血海 SP10), Liangqiū (梁丘 ST34) and Hedĭng (鹤顶 EX-LE2). During the period of EA, the suspending thunder-fire moxibustion was applied to Shenque (神阙 CV8) and Guānyuan (关元 CV4). In the medication group, diclofenac sodium double release intestine-sol capsule and Fugui gutong capsules were prescribed for oral administration. The treatment for 14 days was taken as one course and the consecutive 2 courses of treatment were required in each group. Before and after treatment, as well as in the follow-up visit, the pain score (visual analogue scale, VAS), the knee function score(Western Ontario and McMaster University, WOMAC, the expressions of interleukin 6 (IL-6) and transforming growth factor β1 (TGF-β1) in the joint fluid as well as the difference in the clinical therapeutic effect were observed in the two groups separately. Results (1) The pain score: compared with those before treatment, the VAS scores were all reduced after treatment and in the follow-up in the two groups (all P Conclusion The clinical effect of the combined treatment of electroacupuncture and the thunder-fire moxibustion is remarkable on knee osteoarthritis of cold-damp type. The combined treatment presents a more advantageous at the sustainability of the therapeutic effect as compared with medication. |
| Databáze: | OpenAIRE |
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